Individual provider Active NPI

Pheng Xiong, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1467167528
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7181 Issued in MN
Practice address
995 University Ave W Ste 254
Saint Paul, MN 55104-4796
Phone
(651) 666-3428
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401371 MI
Chiropractor 111N00000X 7181 MN Primary

Addresses

Primary practice location

995 University Ave W Ste 254
Saint Paul, MN 55104-4796

Mailing address

995 University Ave W Ste 254
Saint Paul, MN 55104-4796
Phone (651) 666-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604003771 MN Practitioner - Chiropractic 6305210071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Chiropractic LLCGroup PAC ID 8325580426, 2 clinicians

Practice addresses (Care Compare)

995 University Ave W
Suite 254
Saint Paul, MN 55104-4796
Phone (920) 287-4078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7181MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Chiropractic LLC Chiropractor CurrentSince Apr 21, 2024 Accepting new patients

Locations

995 University Ave W
Ste 254
Saint Paul, MN 55104
Phone (313) 575-6956

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1467167528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 UNIVERSITY AVE W STE 254",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044796",
            "telephone_number": "651-666-3428",
            "fax_number": "517-629-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 UNIVERSITY AVE W STE 254",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044796",
            "telephone_number": "651-666-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "PHENG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401371",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.